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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Middle Of The Chest?

54 year old white female,not overweight,I have been having pain come and go under my left breat through the middle of my chest. It has been ongoing for about 3 weeks. Sometimes it goes to tje outer side og my chest.I am physically in good shape. I have had a history of pneumonia and bronchitis but I am not having trouble breathing. I ve heard it may be heartburn,but I am unsure. Thank you for any advice.
Tue, 26 Mar 2019
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General & Family Physician 's  Response
Hello,

Central chest pain can be from Heart, stomach, Lung, blood vessel, or muscle skeletal pain.

Do you have any history of DM, HTN, High cholesterol? Chest pain association with shortness of breath or fever or exertion? How long it take? and how is the characteristic of pain? any stress recently?

If you pain for stomach you will experience burning, maybe nausea or vomiting, weight loss, decreased appetite... So you may respond to Omeprazole or Ranitidine.

If from the skeletal muscle you may experience pain when you moving or shaking or when you touch. You may respond to decrease activity and NSAID like Ibuprofen.

Lung you do not have difficulty with breathing., but any cough or fever? If you have you should check with your home doctor.

The heart is very concern one. You would experience with chest pain radiation to other place, feel like squeeze pain or heavy or tightness. Association with shortness of breath and exertion. If I am your doctor I would other ECG, stress test to rule out Myocardia Infarction or ischemic heart disease. If you have it you need emergency managment. You should make sure with your home doctor.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Heang Chan Raksmey, General & Family Physician
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What Causes Pain In The Middle Of The Chest?

Hello, Central chest pain can be from Heart, stomach, Lung, blood vessel, or muscle skeletal pain. Do you have any history of DM, HTN, High cholesterol? Chest pain association with shortness of breath or fever or exertion? How long it take? and how is the characteristic of pain? any stress recently? If you pain for stomach you will experience burning, maybe nausea or vomiting, weight loss, decreased appetite... So you may respond to Omeprazole or Ranitidine. If from the skeletal muscle you may experience pain when you moving or shaking or when you touch. You may respond to decrease activity and NSAID like Ibuprofen. Lung you do not have difficulty with breathing., but any cough or fever? If you have you should check with your home doctor. The heart is very concern one. You would experience with chest pain radiation to other place, feel like squeeze pain or heavy or tightness. Association with shortness of breath and exertion. If I am your doctor I would other ECG, stress test to rule out Myocardia Infarction or ischemic heart disease. If you have it you need emergency managment. You should make sure with your home doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Heang Chan Raksmey, General & Family Physician